Part B News Features
Question: For the purposes of E/M coding, does intravenous (IV) contrast for diagnostic imaging fit the definition of “Drug therapy requiring intensive monitoring for toxicity” under the... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
A utilization jump for several primary psychological, neuropsychological and neurobehavioral testing codes that began in 2019 continued in 2024, the latest year of available Medicare numbers. Even t... More
Question: For the purposes of E/M coding, does intravenous (IV) contrast for diagnostic imaging fit the definition of “Drug therapy requiring intensive monitoring for toxicity” under the... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
A utilization jump for several primary psychological, neuropsychological and neurobehavioral testing codes that began in 2019 continued in 2024, the latest year of available Medicare numbers. Even t... More
Tools
Find the latest list of designated health services (DHS) that are subject to the Stark physician self-referral rule’s restriction on referrals. The new list went into effect Jan. 1, 2026.
Get a head start on revisions to codes in the E/M, cardiovascular, radiology and medicine chapters of the 2026 CPT Manual. The following chart contains the current and revised long descriptors for codes that CMS released in the proposed 2026 Medicare physician fee schedule and intends to assign an active (A) payment status
Benchmark of the Week
A utilization jump for several primary psychological, neuropsychological and neurobehavioral testing codes that began in 2019 continued in 2024, the latest year of available Medicare numbers. Even the runt of the litter — a seldom-claimed test code plagued by high denial rates (96146) — saw a usage boost.
Physicians and advanced practice providers (APP) readily made the switch to reporting telehealth services based on the patient’s location in 2024, the first year it was mandatory for Medicare patients. However, a review of Medicare Part B claims data shows that some providers started to use place of service 10 (Telehealth provided in patient’s home) when it became available for Medicare billing effective April 1, 2022.
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